BCRC FORMS
This form MUST be utilized when sending a donor/employee for a post-accident/incident drug and alcohol test or probable cause drug and alcohol test.
The DER/Supervisor MUST physically accompany the donor/employee and always stay with the donor from the time of the incident to completion of testing. Post-accident and probable cause testing must be performed within 2 hours at an on-site location or within 4 hours at an off-site location. Please inform the collector/collection site that the test MUST be a BCRC Urine Drug Screen and a Breath Alcohol Test.
This form must be completed immediately after a BCRC Post Accident/Probable Cause Drug & Alcohol Test then sent to the BCRC info@bcrcnet.com or faxed to 219.764.9505.
Download Drug & Alcohol Testing Form here
This form must be prepared every time an employee displays signs of impairment, possibly due to Drugs and/or Alcohol.
Never accuse an individual of being under the influence of Drugs or Alcohol, only relate Factual Observations. A supervisor who has received Reasonable Suspicion Testing Training is to complete this form.
Note – Retain a copy of this form for a minimum of 5 years and include it in the Employee’s Secure Confidential Drug & Alcohol Program file.
Download the BCRC Reasonable Suspicion Reporting Form here
BCRC Application Form is used by local unions, contractors, new applicants, or trade transfers to request a BCRC number.
Download the BCRC Member Application Form here
On-Line Application link here
Permission to Obtain BCRC Drug Status is a contract between participant, BCRC, Contractors, and Unions. It allows authorized parties to access employees’ BCRC drug status using an ID or Social Security number, while ensuring confidentiality.
Download the BCRC ID Permission Form here
Applicant/Cardholder Drug Testing Instructions & Information Form outlines the process, emphasizing proper identification, specimen integrity, and adherence to privacy policies. Strict confidentiality is maintained throughout. Participants must sign consent, verify personal details during drug testing, and understand specimen collection procedures.
Download the BCRC Applicant Drug Testing Form here
Please use this form to provide or update your contact information. Keep your details current to help ensure we can reach you when needed.
Download the BCRC Member Contact Information Update Form here
This form is used by participating Contractors to contribute monthly amounts.
REPORTING REQUIREMENTS – Use a separate BCRC Fund Reporting Form for each month reported. Attach a copy of your Man Hour Reports for each trade, with names and social security numbers of each Member remitted. Contributions and reports are Due by the 20th of each month for hours worked the preceding month.
Download BCRC Fund Reporting Form here
